1. Correalation between injury of draining veins around meningiomas in superficial middle cerebral vein areas and postoperative cognitive changes
Lei YI ; Zongping ZHANG ; Haibin FENG ; Qingwu WU ; Feng YE
Chinese Journal of Primary Medicine and Pharmacy 2019;26(18):2186-2190
Objective:
To explore the correalation between change of postoperative cognitive function and injury of the draining veins around meningiomas in superficial middle cerebral vein areas, to discuss the importance and protection method of draining veins around meningiomas in order to guide the microneurosurgery.
Methods:
From July 2013 to July 2017, the clinical data of 54 patients with superficial middle cerebral vein areas meningiomas(tumor group) in the Central Hospital of Guangdong Nongken were retrospectively analyzed.And 52 healthy volunteers were selected as the control group.The preoperative and postoperative cognitive function and meningiomas peritumoral edema(MPE) were assessed by the Montreal Cognitive Assessment(MoCA) and CT/MRI.
Results:
The scores of visuospatial and executive[(3.23±1.27)points], order[(2.52±1.27)points], memory[(2.20±1.14)points], attention[(4.71±0.97)points], language[(2.19±0.74)points], abstract[(1.43±0.63)points], location[(5.83±0.42)points], total[(22.06±0.33)points] in the tumor group were significantly lower than those in the control group[(4.83±0.38)points, (3.0±0.02)points, (3.5±1.04)points, (5.98±0.14)points, (2.54±0.50)points, (1.88±0.38)points, (5.98±0.33)points, (27.83±0.16)points](
2.Coordinated development of post-setting and personnel training system for the high-quality develop-ment of public hospitals
Zongping YE ; Ting ZHANG ; Kun LIANG
Modern Hospital 2024;24(2):304-306
Guided by the"20th CPC National Congress of the Party",public hospitals are marching towards the Second Centenary Goal in line with the"14th Five-Year Plan"for the development of the health workforce.It is essential for the hospitals to strengthen the deepening synergy of the integrated construction of professionals and disciplines in the overall layout of hospitals and fully leverage the support of professionals in various disciplines for the development of public hospitals in the current situa-tion.It also is the primary task for high quality development.This paper focuses on public general hospitals in Western China as the research subject.Through thoughtful planning and strategic positioning of targeted workforce training goals,this study exam-ines the close integration of medical personnel training and discipline management through a"workforce pool".By doing this,the aim is to achieve the transformation and upgrade of internal mechanisms and management modes of hospitals and promote the high-quality development of the public hospital management system.
3.Clinical efficacy of temozolomide combined with X-ray stereotactic radiotherapy in the treatment of recurrent glioma
Qi ZHONG ; Zongping LI ; Jian WU ; Ye ZHANG
Journal of Chinese Physician 2022;24(5):745-748
Objective:To investigate the curative efficacy of X-ray stereotactic radiotherapy combined with temozolomide in the treatment of recurrent glioma.Methods:48 patients with recurrent glioma treated in Mianyang Central Hospital from January 2018 to January 2019 were retrospectively selected, including 24 patients treated with stereotactic radiotherapy as the control group and 24 patients treated with temozolomide combined with stereotactic radiotherapy as the observation group. The treatment effect, inflammatory factor level, incidence of adverse events and survival rate were compared between the two groups.Results:The complete remission rate and total effective rate in the observation group were significantly higher than those in the control group (66.7% vs 37.5%, 87.5% vs 62.5%) (all P<0.05). There were no significant differences in serum levels of hepatocyte growth factor (HGF), tumor necrosis factor-α (TNF-α) and interleukin-17 (IL-17) between the two groups before treatment (all P>0.05). After treatment, the serum levels of HGF, TNF-α and IL-17 in observation group was significantly lower than those in control group (all P<0.05). The incidence of adverse events in the observation group was significantly lower than that in the control group ( P<0.05). During follow-up of 6, 12 and 18 months, the survival rate of patients in the observation group was significantly higher than that in the control group, with statistically significant difference (all P<0.05). Conclusions:The combination of X-ray stereotactic radiotherapy with temozolomide in the treatment of recurrent glioma shows better clinical outcome and extended survival rate. To conclude, this combined treatment is recommended in further clinical promotion.
4.Talents work promote the high-quality development of public hospitals
Lijuan ZHENG ; Mingxuan CHEN ; Xinyi ZENG ; Huicong ZHENG ; Jing JIE ; Zongping YE
Modern Hospital 2024;24(1):65-67
Talents are the core driving force to promote the high-quality development of public hospitals,and the talent team building is an important factor for hospitals to get sustainable development and improve comprehensive competitiveness.In view of the shortage of high-level talents,the imperfect talent reserve system,and the lagging personnel management mechanism of public hospitals and the resulting unreasonable talent team structure and talent gap,public hospitals should take talent team building as the starting point,pay equal attention to the introduction and training of talents,interact with discipline construction and talent construction,vigorously promote the construction of personnel management system and mechanism innovation,form a standardized,scientific,refined and efficient modern hospital management system,so that the effectiveness of talents can be max-imized,and provide intellectual support for the high-quality development of public hospitals.